Individual provider Active NPI

Alan Frederick Wolf, M.D.

  • Specialist
  • Arnold, MD
National Provider Identifier
1982632402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0013809 Issued in MD
Practice address
83 Church Rd
Arnold, MD 21012-2306
Phone
(410) 757-2778
Fax
(410) 757-0632
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0013809 MD Primary

Addresses

Primary practice location

83 Church Rd
Arnold, MD 21012-2306

Mailing address

83 Church Rd
Arnold, MD 21012-2306
Phone (410) 757-2778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122000037 MD Practitioner - Ophthalmology 2163535956 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Optical Inc CurrentSince Jul 28, 2019 Accepting new patients
Baltimore Ophthalmology, LLC CurrentSince May 1, 2018 Accepting new patients

Locations

6412 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 764-9360

6418 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 318-8855

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982632402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CHURCH RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122306",
            "telephone_number": "410-757-2778",
            "fax_number": "410-757-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CHURCH RD",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122306",
            "telephone_number": "410-757-2778",
            "fax_number": "410-757-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ALAN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0013809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.